Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Frederick Mazzeo, MD

Individual provider Family Medicine Physician · NPI 1043240534

Robert Frederick Mazzeo, MD is a Family Practice in Lake Ronkonkoma, New York. Qualified in 1982, 44 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 737-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1120 Little East Neck Road, West Babylon, NY 11704 — (631) 669-7712

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 162565 (NY)

Record details

NPI number1043240534
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Ronkonkoma